Hospital

SALINE MEMORIAL HOSPITAL

Benton, AR · CCN 040084 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $12,315 across 41 payers · range $320-$20,949

Source: https://www.salinememorial.org/docs/ahsalinememorialhospitallibraries/hcl/mrf3q262/812816675_saline-memorial-hospital_standardcharges.csv · observed 2026-09-21

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,515 distinct procedures filed

66 distinct payers

103,733 rate rows

2026-09-21 last MRF observed

Data quality

101,714 of 103,733 rate rows are consumer-grade (98.1%)

2,019 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,996
exceeds 10× this hospital's gross charge — excluded from medians	17
placeholder amount (≤ $0.02) — excluded from medians	4
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.salinememorial.org/docs/ahsalinememorialhospitallibraries/hcl/mrf3q26/81-2816675_saline-memorial-hospital_standardcharges.csv
Found on page	https://www.salinememorial.org/hospital-charges-listing
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-12

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	$96,773.89	$143,306.58	$96,773.89	nat. median $97,418 1.0× median
C1882 HCPCS	Aicd Other Than Sing/dual	12	$94,381.88	$94,381.88	$94,381.88	nat. median $24,131 outlier · 3.9×
C1721 HCPCS	Aicd Dual Chamber	12	$81,076.76	$81,076.76	$81,076.76	nat. median $19,958 outlier · 4.1×
215 MS_DRG	Other Heart Assist System Implant	30	$72,670.42	$103,015.12	$72,670.42	nat. median $73,023 1.0× median
C1776 HCPCS	Joint Device (implantable)	15	$5,459.05	$71,430.51	$71,430.51	nat. median $3,543 outlier · 20.2×
4169F CPT	No Pt Care Icu/vent In 24hrs	12	$70,356.71	$70,356.71	$70,356.71	nat. median $85,762 0.8× median
C1722 HCPCS	Aicd Single Chamber	12	$67,844.43	$67,844.43	$67,844.43	nat. median $19,800 outlier · 3.4×
C1820 HCPCS	Axonics Stage 2 Full Implant	12	$58,667.81	$58,667.81	$58,667.81	nat. median $21,100 outlier · 2.8×
957 MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	31	$49,840.71	$78,835.49	$51,325.56	nat. median $52,327 1.0× median
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	33	$33,716.79	$71,509.48	$47,864.00	nat. median $48,611 1.0× median
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	$44,527.88	$66,573.41	$44,527.88	nat. median $47,121 0.9× median
S2900 HCPCS	Robotic Surgical System	12	$43,919.60	$43,919.60	$43,919.60	nat. median $1,340 outlier · 32.8×
J7330 HCPCS	Autologous Chondrocytew/membr	12	$42,099.80	$42,099.80	$42,099.80	nat. median $92,809 outlier · 0.5×
790 MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	31	$20,718.00	$61,491.45	$40,966.09	nat. median $40,584 1.0× median
18 MS_DRG	Chim Antg Rec (car) T-cell	1	$39,567.91	$39,567.91	$39,567.91	nat. median $168,055 outlier · 0.2×
C1713 HCPCS	Anchor/screw Bn/bntis/bn	20	$601.51	$38,871.42	$38,871.42	nat. median $1,045 outlier · 37.2×
463 MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	31	$24,689.21	$58,967.03	$37,258.39	nat. median $38,795 1.0× median
326 MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	31	$32,295.66	$51,599.64	$35,062.95	nat. median $35,986 1.0× median
10012 CPT	Fna Bx W/mr Gdn Ea Addl	12	$34,897.67	$34,897.67	$34,897.67	nat. median $762 outlier · 45.8×
853 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	34	$13,546.89	$51,094.76	$34,533.18	nat. median $34,733 1.0× median
C2621 HCPCS	Impl Pacemaker Not Sgl/dual Chamb	12	$33,907.89	$33,907.89	$33,907.89	nat. median $11,743 outlier · 2.9×
C1767 HCPCS	Battery Interstem 10-14 Hz	12	$33,808.64	$33,808.64	$33,808.64	nat. median $25,172 1.3× median
981 MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	$31,798.70	$48,541.36	$32,846.37	nat. median $33,546 1.0× median
G0269 HCPCS	Occlusive Device In Vein Art	12	$31,816.58	$31,816.58	$31,816.58	nat. median $713 outlier · 44.6×
329 MS_DRG	Major Small And Large Bowel Procedures With Mcc	31	$31,741.83	$47,555.39	$31,741.83	nat. median $33,435 0.9× median
33264 CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	31	$3,376.00	$51,217.35	$30,687.10	nat. median $32,779 0.9× median
33249 CPT	Ins/rplcmt Defib With Lead(s)	31	$6,269.00	$51,217.35	$30,687.10	nat. median $32,069 1.0× median
4168F CPT	Pt Care Icu&vent W/in 24hrs	12	$30,419.04	$30,419.04	$30,419.04	nat. median $41,617 0.7× median
C1781 HCPCS	Enform Intraperit Biomaterial	15	$265.88	$30,278.92	$30,278.92	nat. median $1,566 outlier · 19.3×
673 MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	31	$28,110.89	$43,469.75	$28,998.90	nat. median $29,327 1.0× median
793 MS_DRG	Full Term Neonate With Major Problems	33	$485.00	$43,138.68	$28,868.67	nat. median $15,882 1.8× median
474 MS_DRG	Amp Musc/tiss Dis W Mcc	4	$20,662.26	$31,515.80	$28,572.47	nat. median $29,481 1.0× median
4190F CPT	Approp Diuretic Tstng Done	12	$28,297.01	$28,297.01	$28,297.01	nat. median $28,297 1.0× median
791 MS_DRG	Prematurity With Major Problems	31	$12,597.00	$41,994.41	$28,114.59	nat. median $27,149 1.0× median
907 MS_DRG	Other O.r. Procedures For Injuries With Mcc	31	$24,522.42	$39,721.40	$27,595.04	nat. median $27,194 1.0× median
C1757 HCPCS	Cath Thrombectomy/embolect	12	$27,370.47	$27,370.47	$27,370.47	nat. median $2,532 outlier · 10.8×
876 MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	30	$8,323.00	$36,167.73	$27,226.18	nat. median $2,958 outlier · 9.2×
616 MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	31	$20,766.54	$36,080.64	$26,785.73	nat. median $25,616 1.0× median
94 MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	30	$25,310.97	$36,411.71	$25,310.97	nat. median $24,752 1.0× median
802 MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	30	$24,875.29	$41,219.50	$24,875.29	nat. median $25,579 1.0× median
C9608 HCPCS	Cto/bypass Ptca/des Add Vessel	12	$24,790.79	$24,790.79	$24,790.79	nat. median $9,115 outlier · 2.7×
C9606 HCPCS	Mi Total/sub Coronary/bypass Ptca/d	12	$24,790.79	$24,790.79	$24,790.79	nat. median $17,051 1.5× median
C9605 HCPCS	Perc D-e Cor Revasc T Cabg B	12	$24,790.79	$24,790.79	$24,790.79	nat. median $8,104 outlier · 3.1×
C9601 HCPCS	Drug-eluting Stent Addl Vessel	12	$24,790.79	$24,790.79	$24,790.79	nat. median $9,005 outlier · 2.8×
492 MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	32	$23,864.73	$37,986.37	$24,646.20	nat. median $25,953 0.9× median
3130F CPT	Upper Gi Endoscopy Performed	12	$24,449.40	$24,449.40	$24,449.40	nat. median $27,100 0.9× median
987 MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	31	$23,522.52	$35,470.23	$24,315.52	nat. median $24,316 1.0× median
335 MS_DRG	Periton Adhes W Mcc	1	$24,311.69	$24,311.69	$24,311.69	nat. median $25,494 1.0× median
264 MS_DRG	Other Circulatory System O.r. Procedures	30	$24,263.70	$34,561.85	$24,263.70	nat. median $23,998 1.0× median
252 MS_DRG	Other Vascular Procedures With Mcc	30	$23,822.57	$36,089.95	$23,822.57	nat. median $25,156 0.9× median

Other procedures at this hospital

Browse this hospital's 4,515 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	30	$187,322.84	—	$96,773.89	$143,306.58	$96,773.89	2026-09-21
C1882	HCPCS	Aicd Other Than Sing/dual	13	12	$141,927.65	—	$94,381.88	$94,381.88	$94,381.88	2026-09-21
C1721	HCPCS	Aicd Dual Chamber	13	12	$121,919.94	—	$81,076.76	$81,076.76	$81,076.76	2026-09-21
215	MS_DRG	Other Heart Assist System Implant	30	30	$310,417.18	—	$72,670.42	$103,015.12	$72,670.42	2026-09-21
C1776	HCPCS	Joint Device (implantable)	16	15	$107,414.29	$10,023.33 91% off	$5,459.05	$71,430.51	$71,430.51	2026-09-21
4169F	CPT	No Pt Care Icu/vent In 24hrs	13	12	$105,799.56	—	$70,356.71	$70,356.71	$70,356.71	2026-09-21
C1722	HCPCS	Aicd Single Chamber	13	12	$102,021.69	—	$67,844.43	$67,844.43	$67,844.43	2026-09-21
C1820	HCPCS	Axonics Stage 2 Full Implant	13	12	$88,222.26	—	$58,667.81	$58,667.81	$58,667.81	2026-09-21
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	31	31	$127,291.52	$30,374.18 76% off	$49,840.71	$78,835.49	$51,325.56	2026-09-21
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	33	33	$120,818.86	$43,652.77 64% off	$33,716.79	$71,509.48	$47,864.00	2026-09-21
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	30	$117,302.52	—	$44,527.88	$66,573.41	$44,527.88	2026-09-21
S2900	HCPCS	Robotic Surgical System	13	12	$66,044.50	—	$43,919.60	$43,919.60	$43,919.60	2026-09-21
J7330	HCPCS	Autologous Chondrocytew/membr	13	12	$63,307.97	—	$42,099.80	$42,099.80	$42,099.80	2026-09-21
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	31	31	$31,693.63	$7,720.88 76% off	$20,718.00	$61,491.45	$40,966.09	2026-09-21
18	MS_DRG	Chim Antg Rec (car) T-cell	1	1	$39,567.91	$11,870.37 70% off	$39,567.91	$39,567.91	$39,567.91	2025-07-01
C1713	HCPCS	Anchor/screw Bn/bntis/bn	21	20	$58,453.26	$2,550.42 96% off	$601.51	$38,871.42	$38,871.42	2026-09-21
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	31	31	$178,170.28	$67,949.28 62% off	$24,689.21	$58,967.03	$37,258.39	2026-09-21
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	31	31	$216,461.88	$37,787.26 83% off	$32,295.66	$51,599.64	$35,062.95	2026-09-21
10012	CPT	Fna Bx W/mr Gdn Ea Addl	13	12	$52,477.69	—	$34,897.67	$34,897.67	$34,897.67	2026-09-21
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	34	34	$115,176.89	$43,126.68 63% off	$13,546.89	$51,094.76	$34,533.18	2026-09-21
C2621	HCPCS	Impl Pacemaker Not Sgl/dual Chamb	13	12	$50,989.31	—	$33,907.89	$33,907.89	$33,907.89	2026-09-21
C1767	HCPCS	Battery Interstem 10-14 Hz	13	12	$50,840.06	—	$33,808.64	$33,808.64	$33,808.64	2026-09-21
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	32	$100,372.59	$23,503.14 77% off	$31,798.70	$48,541.36	$32,846.37	2026-09-21
G0269	HCPCS	Occlusive Device In Vein Art	13	12	$47,844.49	—	$31,816.58	$31,816.58	$31,816.58	2026-09-21
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	31	31	$203,625.41	$34,643.82 83% off	$31,741.83	$47,555.39	$31,741.83	2026-09-21
33249	CPT	Ins/rplcmt Defib With Lead(s)	32	31	$142,007.24	—	$6,269.00	$51,217.35	$30,687.10	2026-09-21
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	32	31	$142,007.24	—	$3,376.00	$51,217.35	$30,687.10	2026-09-21
4168F	CPT	Pt Care Icu&vent W/in 24hrs	13	12	$45,742.92	—	$30,419.04	$30,419.04	$30,419.04	2026-09-21
C1781	HCPCS	Enform Intraperit Biomaterial	16	15	$45,532.21	$479.46 99% off	$265.88	$30,278.92	$30,278.92	2026-09-21
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	31	31	$92,849.04	$20,654.85 78% off	$28,110.89	$43,469.75	$28,998.90	2026-09-21
793	MS_DRG	Full Term Neonate With Major Problems	34	33	$25,991.71	$6,983.47 73% off	$485.00	$43,138.68	$28,868.67	2026-09-21
474	MS_DRG	Amp Musc/tiss Dis W Mcc	4	4	$110,073.57	$33,022.07 70% off	$20,662.26	$31,515.80	$28,572.47	2025-07-01
4190F	CPT	Approp Diuretic Tstng Done	13	12	$42,551.89	—	$28,297.01	$28,297.01	$28,297.01	2026-09-21
791	MS_DRG	Prematurity With Major Problems	31	31	$25,824.09	$4,317.45 83% off	$12,597.00	$41,994.41	$28,114.59	2026-09-21
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	31	31	$33,637.11	$45,696.65	$24,522.42	$39,721.40	$27,595.04	2026-09-21
C1757	HCPCS	Cath Thrombectomy/embolect	13	12	$41,158.61	—	$27,370.47	$27,370.47	$27,370.47	2026-09-21
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	30	30	$65,613.10	—	$8,323.00	$36,167.73	$27,226.18	2026-09-21
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	31	31	$159,099.10	$17,302.05 89% off	$20,766.54	$36,080.64	$26,785.73	2026-09-21
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	30	30	$25,532.23	—	$25,310.97	$36,411.71	$25,310.97	2026-09-21
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	30	30	$70,507.66	—	$24,875.29	$41,219.50	$24,875.29	2026-09-21
C9605	HCPCS	Perc D-e Cor Revasc T Cabg B	13	12	$37,279.38	—	$24,790.79	$24,790.79	$24,790.79	2026-09-21
C9601	HCPCS	Drug-eluting Stent Addl Vessel	13	12	$37,279.38	—	$24,790.79	$24,790.79	$24,790.79	2026-09-21
C9606	HCPCS	Mi Total/sub Coronary/bypass Ptca/d	13	12	$37,279.38	—	$24,790.79	$24,790.79	$24,790.79	2026-09-21
C9608	HCPCS	Cto/bypass Ptca/des Add Vessel	13	12	$37,279.38	—	$24,790.79	$24,790.79	$24,790.79	2026-09-21
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	32	32	$97,619.13	$27,933.74 71% off	$23,864.73	$37,986.37	$24,646.20	2026-09-21
3130F	CPT	Upper Gi Endoscopy Performed	13	12	$36,766.01	—	$24,449.40	$24,449.40	$24,449.40	2026-09-21
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	31	31	$99,754.45	$11,264.81 89% off	$23,522.52	$35,470.23	$24,315.52	2026-09-21
335	MS_DRG	Periton Adhes W Mcc	1	1	$98,610.89	$29,583.27 70% off	$24,311.69	$24,311.69	$24,311.69	2025-07-01
264	MS_DRG	Other Circulatory System O.r. Procedures	30	30	$42,300.27	—	$24,263.70	$34,561.85	$24,263.70	2026-09-21
252	MS_DRG	Other Vascular Procedures With Mcc	30	30	$73,954.87	—	$23,822.57	$36,089.95	$23,822.57	2026-09-21
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	31	31	$144,311.80	$21,806.87 85% off	$23,787.12	$36,486.20	$23,787.12	2026-09-21
246	MS_DRG	Perc Cv Px W De Stnt W Mcc	1	1	$96,126.25	$28,837.88 70% off	$23,567.19	$23,567.19	$23,567.19	2025-07-01
93653	CPT	Ep & Ablate Supravent Arrhyt	32	31	$89,003.26	—	$23,480.60	$42,649.26	$23,480.60	2026-09-21
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	32	32	$106,437.77	$39,151.72 63% off	$22,020.97	$31,381.49	$22,720.08	2026-09-21
500	MS_DRG	Soft Tissue Procedures With Mcc	30	30	$72,108.93	—	$22,038.26	$32,743.02	$22,038.26	2026-09-21
856	MS_DRG	Postop/trama Inf Wor W Mcc	1	1	$50,659.75	$15,197.92 70% off	$21,763.57	$21,763.57	$21,763.57	2025-07-01
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	30	30	$76,574.84	—	$21,518.04	$32,971.67	$21,518.04	2026-09-21
33263	CPT	Rmvl & Rplcmt Dfb Gen 2 Lead	32	31	$101,892.36	—	$6,269.00	$36,294.94	$21,483.92	2026-09-21
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	19	19	$76,064.10	—	$21,355.77	$21,355.77	$21,355.77	2026-09-21
397	MS_DRG	Coagulation Disorders	1	1	$53,256.97	$15,977.09 70% off	$20,803.52	$20,803.52	$20,803.52	2025-07-01
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	33	33	$72,980.40	$107,744.45	$17,831.78	$143,229.10	$20,537.59	2026-09-21
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	31	31	$120,002.84	$33,751.70 72% off	$17,796.26	$30,130.66	$20,485.77	2026-09-21
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	31	31	$50,543.77	$22,101.68 56% off	$19,812.32	$30,024.09	$20,431.23	2026-09-21
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	32	32	$104,030.74	$31,046.58 70% off	$19,674.29	$29,695.09	$20,306.46	2026-09-21
800	MS_DRG	Splenic Procedures With Cc	30	30	$89,887.14	—	$20,300.32	$29,066.05	$20,300.32	2026-09-21
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	30	30	$103,627.94	—	$20,289.41	$29,491.27	$20,289.41	2026-09-21
C1785	HCPCS	Pmkr Dual Rate-resp	13	12	$30,469.21	—	$20,262.03	$20,262.03	$20,262.03	2026-09-21
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	31	31	$123,242.58	$30,798.61 75% off	$19,959.41	$27,520.36	$19,959.41	2026-09-21
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	22	21	$110,656.47	$23,498.01 79% off	$19,251.19	$24,707.38	$19,843.51	2026-09-21
28320	HCPCS	Repair Of Foot Bones	1	1	$10,340.93	$3,102.28 70% off	$19,484.42	$19,484.42	$19,484.42	2025-07-01
570	MS_DRG	Skin Debridemnt W Mcc	1	1	$59,088.52	$17,726.56 70% off	$19,370.54	$19,370.54	$19,370.54	2025-07-01
C1786	HCPCS	Insignia I Ultra Dr 1290	13	12	$28,728.12	—	$19,104.20	$19,104.20	$19,104.20	2026-09-21
619	MS_DRG	O.r. Procedures For Obesity With Mcc	32	32	$70,163.43	$20,769.56 70% off	$19,023.28	$29,873.04	$19,023.28	2026-09-21
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	35	35	$78,726.09	$17,377.00 78% off	$16,723.75	$28,438.05	$18,732.15	2026-09-21
577	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	30	30	$60,331.30	—	$18,588.97	$27,424.14	$18,588.97	2026-09-21
27487	CPT	Revise/replace Knee Joint	13	12	$125,638.80	—	$4,559.00	$28,610.01	$18,536.20	2026-09-21
E0749	HCPCS	Elec Osteogen Stim Implanted	13	12	$27,748.14	—	$18,452.51	$18,452.51	$18,452.51	2026-09-21
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	33	33	$139,807.01	$35,346.54 75% off	$17,731.31	$28,430.81	$18,319.65	2026-09-21
33221	CPT	Insert Pulse Gen Mult Exist	32	31	$81,892.95	—	$6,269.00	$31,429.39	$18,253.58	2026-09-21
33229	CPT	Remv & Rplc Pm Gen Mult Leads	32	31	$81,892.95	—	$6,269.00	$31,429.39	$18,253.58	2026-09-21
C1895	HCPCS	Lead Cardi/defib Endo Dual Coil	13	12	$27,434.72	—	$18,244.09	$18,244.09	$18,244.09	2026-09-21
510	MS_DRG	Ue Px Ex Maj Joint Px Wmcc	1	1	$99,419.04	$29,825.71 70% off	$18,042.11	$18,042.11	$18,042.11	2025-07-01
253	MS_DRG	Other Vascular Procedures With Cc	33	33	$112,796.51	$34,276.29 70% off	$17,289.89	$51,065.48	$17,840.34	2026-09-21
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	33	33	$118,534.51	$31,899.50 73% off	$16,555.51	$28,678.08	$17,807.61	2026-09-21
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	30	30	$94,437.56	—	$17,648.75	$31,211.81	$17,648.75	2026-09-21
24371	CPT	Revise Reconst Elbow Joint	32	31	$104,632.66	—	$6,269.00	$28,610.01	$17,601.67	2026-09-21
20696	CPT	Comp Multiplane Ext Fixation	32	31	$170,631.05	—	$3,963.00	$44,274.70	$17,601.67	2026-09-21
23472	CPT	Reconstruct Shoulder Joint	96	31	$91,591.17	—	$4,559.00	$28,610.01	$17,601.67	2026-09-21
24363	CPT	Replace Elbow Joint	32	31	$104,632.66	—	$4,559.00	$28,610.01	$17,601.67	2026-09-21
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	32	32	$99,964.63	$15,307.50 85% off	$17,506.93	$40,807.44	$17,506.93	2026-09-21
92933	CPT	Prq Card Stent/ath/angio	32	31	$56,701.11	—	$17,186.92	$29,911.82	$17,186.92	2026-09-21
C9607	HCPCS	Chronic Total Coronary/bypass Singl	32	31	$57,084.80	—	$17,186.92	$29,911.82	$17,186.92	2026-09-21
0238T	CPT	Atherectomy Iliac Art	32	31	$71,126.34	—	$17,186.92	$29,911.82	$17,186.92	2026-09-21
C9602	HCPCS	Perc D-e Cor Stent Ather S	32	31	$71,126.34	—	$17,186.92	$29,911.82	$17,186.92	2026-09-21
37184	CPT	Prim Art M-thrmbc 1st Vsl	32	31	$76,064.10	—	$4,559.00	$29,911.82	$17,186.92	2026-09-21
792	MS_DRG	Prematurity Without Major Problems	33	33	$17,066.75	$6,144.37 64% off	$687.00	$25,339.42	$17,136.03	2026-09-21
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	34	34	$83,041.09	$27,161.37 67% off	$1,529.23	$25,435.64	$17,126.48	2026-09-21
783	MS_DRG	Cesarean Sec W Steril W Mc	1	1	$21,074.57	$6,322.37 70% off	$17,056.92	$17,056.92	$17,056.92	2025-07-01
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	35	34	$77,638.92	$25,041.66 68% off	$13,496.62	$26,238.49	$16,803.98	2026-09-21
C1764	HCPCS	Event Recorder Cardiac Confirm Rx	13	12	$25,081.76	—	$16,679.37	$16,679.37	$16,679.37	2026-09-21
417	MS_DRG	Lap Chole Wo Cde W Mcc	2	2	$64,422.78	$19,326.83 70% off	$15,497.92	$17,731.46	$16,614.69	2025-07-01
57	MS_DRG	Deg Nrv Sys Dis Wo Mcc	3	3	$36,322.63	$10,896.79 70% off	$7,353.10	$31,245.90	$16,608.66	2025-07-01
0235T	CPT	Atherectomy Visceral	13	12	$24,950.76	—	$16,592.26	$16,592.26	$16,592.26	2026-09-21
347	MS_DRG	Anal And Stomal Procedures With Mcc	30	30	$52,321.02	—	$16,570.80	$23,750.28	$16,570.80	2026-09-21
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	32	32	$94,411.35	$22,613.08 76% off	$16,006.98	$24,801.43	$16,549.67	2026-09-21
327	MS_DRG	Gastr, Esoph,duo Px W Cc	4	4	$70,793.56	$21,238.07 70% off	$16,433.52	$21,020.62	$16,547.21	2025-07-01
82	MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	30	30	$62,369.54	—	$16,253.08	$23,646.82	$16,253.08	2026-09-21
23472	HCPCS	Reconstruct Shoulder Joint	15	11	$24,437.75	$7,331.32 70% off	$363.00	$27,438.50	$16,233.86	2025-07-01
250	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	31	31	$90,398.54	$19,206.24 79% off	$15,698.87	$22,580.15	$16,201.26	2026-09-21
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	30	30	$66,205.13	—	$16,049.21	$22,842.93	$16,049.21	2026-09-21
438	MS_DRG	Dis Pancr X Malig W Mcc	2	2	$65,046.61	$19,513.98 70% off	$11,962.06	$20,051.54	$16,006.80	2025-07-01
629	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	30	30	$44,600.40	—	$15,768.31	$22,541.86	$15,768.31	2026-09-21
336	MS_DRG	Periton Adhes W Cc	4	4	$60,073.36	$18,022.01 70% off	$11,110.02	$19,560.82	$15,764.64	2025-07-01
247	MS_DRG	Perc Cv Px W De Stnt Womcc	2	2	$64,588.79	$19,376.64 70% off	$14,988.69	$16,314.90	$15,651.80	2025-07-01
286	MS_DRG	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	30	30	$41,948.67	—	$15,524.22	$22,893.63	$15,524.22	2026-09-21
357	MS_DRG	Oth Digest Px W Cc	1	1	$40,527.46	$12,158.24 70% off	$15,291.04	$15,291.04	$15,291.04	2025-07-01
857	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	31	31	$39,956.99	$13,900.20 65% off	$14,926.09	$22,155.96	$15,289.67	2026-09-21
37229	HCPCS	Tib/per Revasc W/ather	1	1	$59,321.38	$17,796.41 70% off	$15,274.83	$15,274.83	$15,274.83	2025-07-01
37225	HCPCS	Fem/popl Revas W/ather	1	1	$37,355.57	$11,206.67 70% off	$15,274.83	$15,274.83	$15,274.83	2025-07-01
475	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	32	32	$41,356.73	$16,730.41 60% off	$14,928.99	$23,544.39	$15,142.40	2026-09-21
314	MS_DRG	Other Circulatory System Diagnoses With Mcc	32	32	$119,463.92	$12,273.10 90% off	$5,171.74	$21,573.48	$15,116.49	2026-09-21
940	MS_DRG	Or Px Pdx Oth Svcs W Cc	1	1	$30,293.60	$9,088.08 70% off	$15,099.13	$15,099.13	$15,099.13	2025-07-01
486	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Cc	33	33	$141,447.77	$36,387.52 74% off	$13,473.26	$21,634.52	$14,894.22	2026-09-21
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	33	33	$83,048.21	$21,973.79 74% off	$14,318.49	$21,909.72	$14,806.95	2026-09-21
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	35	34	$89,337.19	$24,836.29 72% off	$13,755.42	$21,669.70	$14,580.59	2026-09-21
C1897	HCPCS	Axonics Stage 1 Trial Kit	13	12	$21,833.36	—	$14,519.18	$14,519.18	$14,519.18	2026-09-21
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	34	34	$85,820.92	$22,122.40 74% off	$7,332.27	$20,642.34	$14,186.50	2026-09-21
407	MS_DRG	Panc/liver Px Wo Cc/mcc	1	1	$86,578.37	$25,973.51 70% off	$14,177.59	$14,177.59	$14,177.59	2025-07-01
548	MS_DRG	Septic Arthritis With Mcc	30	30	$32,592.74	—	$14,169.45	$19,977.09	$14,169.45	2026-09-21
516	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	31	31	$45,674.45	$20,046.67 56% off	$12,170.13	$21,500.02	$14,149.68	2026-09-21
154	MS_DRG	Other Enmt Diag W Mcc	1	1	$15,488.11	$4,646.43 70% off	$14,100.02	$14,100.02	$14,100.02	2025-07-01
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	34	34	$104,219.14	$36,919.92 65% off	$12,355.22	$27,138.78	$14,056.96	2026-09-21
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	34	33	$42,237.55	$22,593.12 47% off	$7,159.83	$20,805.81	$13,996.27	2026-09-21
100	MS_DRG	Seizures With Mcc	30	30	$59,656.63	—	$13,969.68	$20,038.13	$13,969.68	2026-09-21
585	MS_DRG	Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc	30	30	$42,557.80	—	$13,968.32	$19,958.47	$13,968.32	2026-09-21
488	MS_DRG	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	32	32	$75,330.15	$18,927.03 75% off	$12,569.70	$19,507.12	$13,834.00	2026-09-21
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	39	36	$59,499.17	$16,444.91 72% off	$5,818.98	$20,097.11	$13,811.50	2026-09-21
511	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	30	30	$58,285.00	—	$13,805.37	$21,513.47	$13,805.37	2026-09-21
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	30	30	$35,348.46	—	$13,765.82	$20,493.36	$13,765.82	2026-09-21
935	MS_DRG	Non-extensive Burns	1	1	$14,953.63	$4,486.09 70% off	$13,715.52	$13,715.52	$13,715.52	2025-07-01
36416	CPT	Capillary Blood Draw	13	12	$20,559.07	—	$13,671.78	$13,671.78	$13,671.78	2026-09-21
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	35	35	$84,754.13	$19,329.70 77% off	$11,622.81	$19,350.12	$13,603.55	2026-09-21
27488	CPT	Removal Of Knee Prosthesis	13	12	$142,208.39	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
27513	CPT	Treatment Of Thigh Fracture	13	12	$88,154.94	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
27486	CPT	Revise/replace Knee Joint	26	12	$96,792.10	—	$4,559.00	$20,948.94	$13,572.65	2026-09-21
27514	CPT	Treatment Of Thigh Fracture	13	12	$88,154.94	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
27091	CPT	Removal Of Hip Prosthesis	13	12	$122,694.83	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
23474	CPT	Revis Reconst Shoulder Joint	26	12	$94,978.27	—	$4,689.00	$20,948.94	$13,572.65	2026-09-21
27511	CPT	Treatment Of Thigh Fracture	13	12	$88,154.94	—	$2,985.00	$20,948.94	$13,572.65	2026-09-21
27712	CPT	Realignment Of Lower Leg	13	12	$65,571.09	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
27138	CPT	Revise Hip Joint Replacement	13	12	$101,848.50	—	$4,559.00	$20,948.94	$13,572.65	2026-09-21
27134	CPT	Revise Hip Joint Replacement	13	12	$85,203.77	—	$4,559.00	$20,948.94	$13,572.65	2026-09-21
27132	CPT	Total Hip Arthroplasty	26	12	$82,282.34	—	$4,559.00	$20,948.94	$13,572.65	2026-09-21
27120	CPT	Reconstruction Of Hip Socket	26	12	$104,097.92	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
27125	CPT	Partial Hip Replacement	13	12	$88,796.50	—	$3,376.00	$20,948.94	$13,572.65	2026-09-21
L8699	HCPCS	Graft Tissue Denovo Cartlg 110mg	13	12	$20,327.75	—	$13,517.95	$13,517.95	$13,517.95	2026-09-21
623	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	31	31	$56,150.74	$25,623.74 54% off	$13,475.37	$18,559.69	$13,475.37	2026-09-21
380	MS_DRG	Cmp Peptic Ulcer W Mcc	2	2	$81,212.30	$24,363.69 70% off	$13,110.36	$13,768.17	$13,439.26	2025-07-01
27486	HCPCS	Revise/replace Knee Joint	1	1	$32,169.40	$9,650.82 70% off	$13,437.34	$13,437.34	$13,437.34	2025-07-01
C2620	HCPCS	Generator Pulse Mdl 5156	13	12	$20,175.18	—	$13,416.50	$13,416.50	$13,416.50	2026-09-21
902	MS_DRG	Wound Debridements For Injuries With Cc	30	30	$49,774.64	—	$13,371.73	$19,807.42	$13,371.73	2026-09-21
205	MS_DRG	Other Respiratory System Diagnoses With Mcc	30	30	$25,866.55	—	$13,304.92	$18,943.53	$13,304.92	2026-09-21
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	38	37	$94,884.14	$29,050.00 69% off	$12,827.93	$34,234.91	$13,289.23	2026-09-21
494	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	36	35	$65,868.70	$19,100.38 71% off	$11,210.58	$20,759.25	$13,288.55	2026-09-21
23615	HCPCS	Treat Humerus Fracture	6	5	$14,108.96	$4,232.69 70% off	$11,464.66	$19,484.42	$13,270.34	2025-07-01
24366	HCPCS	Reconstruct Head Of Radius	1	1	$12,721.51	$3,816.45 70% off	$13,270.34	$13,270.34	$13,270.34	2025-07-01
C1761	HCPCS	Cath Trans Intra Lith/coro Shockwa	13	12	$19,881.34	—	$13,221.09	$13,221.09	$13,221.09	2026-09-21
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	31	31	$71,157.62	$7,707.87 89% off	$13,090.14	$29,286.69	$13,090.14	2026-09-21
862	MS_DRG	Postoperative And Post-traumatic Infections With Mcc	33	33	$125,131.82	$9,580.32 92% off	$6,016.68	$18,868.00	$12,970.14	2026-09-21
441	MS_DRG	Disdrs Liver W Mcc	1	1	$17,684.21	$5,305.26 70% off	$12,914.88	$12,914.88	$12,914.88	2025-07-01
542	MS_DRG	Pth Fx/con Tis Malig Wmcc	1	1	$35,520.38	$10,656.11 70% off	$12,904.82	$12,904.82	$12,904.82	2025-07-01
919	MS_DRG	Complications Of Treatment With Mcc	30	30	$39,038.78	—	$12,867.19	$18,941.46	$12,867.19	2026-09-21
91	MS_DRG	Other Disorders Of Nervous System With Mcc	32	32	$82,512.37	$5,504.98 93% off	$2,897.70	$18,169.65	$12,862.42	2026-09-21
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	32	32	$79,990.48	$10,880.11 86% off	$4,749.47	$18,912.49	$12,830.37	2026-09-21
322	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	24	23	$74,632.22	$23,012.73 69% off	$12,365.60	$69,509.33	$12,769.01	2026-09-21
789	MS_DRG	Neonates, Died Or Transferred To Another Acute Care Facility	33	33	$15,116.00	$4,626.69 69% off	$817.00	$18,645.56	$12,724.01	2026-09-21
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	32	32	$55,724.74	$9,953.24 82% off	$3,567.00	$16,330.65	$12,575.37	2026-09-21
580	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	31	31	$78,547.15	$49,462.33 37% off	$12,522.19	$17,877.89	$12,522.19	2026-09-21
C1724	HCPCS	Cath Trans Atherecrotation	13	12	$18,777.34	—	$12,486.93	$12,486.93	$12,486.93	2026-09-21
27447	HCPCS	Total Knee Arthroplasty	14	11	$25,041.52	$7,512.46 70% off	$320.00	$17,482.99	$12,469.74	2025-07-01
199	MS_DRG	Pneumothorax With Mcc	31	31	$20,317.97	$9,655.22 52% off	$12,469.69	$18,251.38	$12,469.69	2026-09-21
855	MS_DRG	Inf & Par Dis Or Px Wo Cc	1	1	$42,696.21	$12,808.86 70% off	$12,419.21	$12,419.21	$12,419.21	2025-07-01
505	MS_DRG	Foot Procedures Without Cc/mcc	33	33	$84,604.87	$13,443.98 84% off	$9,082.32	$18,548.31	$12,399.47	2026-09-21
504	MS_DRG	Foot Procedures With Cc	32	32	$112,796.51	$20,181.55 82% off	$11,994.29	$19,338.74	$12,399.47	2026-09-21
58554	HCPCS	Laparo-vag Hyst W/t/o Compl	2	2	$24,606.58	$7,381.97 70% off	$9,561.58	$15,155.78	$12,358.68	2025-07-01
371	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	31	31	$47,090.21	$11,637.76 75% off	$12,351.74	$18,344.49	$12,351.74	2026-09-21
27827	CPT	Treat Lower Leg Fracture	64	31	$53,996.15	—	$3,963.00	$20,948.94	$12,315.22	2026-09-21
27828	CPT	Treat Lower Leg Fracture	32	31	$71,195.61	—	$3,963.00	$20,948.94	$12,315.22	2026-09-21
24579	CPT	Treat Humerus Fracture	32	31	$83,701.95	—	$2,461.00	$20,948.94	$12,315.22	2026-09-21
24587	CPT	Treat Elbow Fracture	32	31	$66,951.66	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
24586	CPT	Treat Elbow Fracture	96	31	$68,801.97	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
20692	CPT	Apply Bone Fixation Device	64	31	$126,251.62	—	$2,461.00	$20,948.94	$12,315.22	2026-09-21
24546	CPT	Treat Humerus Fracture	64	31	$68,758.36	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
24545	CPT	Treat Humerus Fracture	64	31	$69,657.26	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
23491	CPT	Reinforce Shoulder Bones	32	31	$67,121.81	—	$2,461.00	$20,948.94	$12,315.22	2026-09-21
24575	CPT	Treat Humerus Fracture	64	31	$65,452.58	—	$2,461.00	$20,948.94	$12,315.22	2026-09-21
27758	CPT	Treatment Of Tibia Fracture	32	31	$71,195.61	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
27447	CPT	Total Knee Arthroplasty	128	31	$79,142.51	—	$6,269.00	$20,948.94	$12,315.22	2026-09-21
24516	CPT	Treat Humerus Fracture	64	31	$74,773.20	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
27446	CPT	Revision Of Knee Joint	96	31	$76,243.63	—	$6,269.00	$20,948.94	$12,315.22	2026-09-21
27870	CPT	Fusion Of Ankle Joint Open	64	31	$78,197.26	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
27759	CPT	Treatment Of Tibia Fracture	32	31	$48,661.97	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
23680	CPT	Treat Dislocation/fracture	32	31	$77,737.72	—	$2,461.00	$20,948.94	$12,315.22	2026-09-21
23615	CPT	Treat Humerus Fracture	96	31	$44,757.20	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
24410	CPT	Revision Of Humerus	32	31	$94,123.80	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
24666	CPT	Treat Radius Fracture	32	31	$60,638.80	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
27428	CPT	Reconstruction Knee	64	31	$50,523.14	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
24366	CPT	Reconstruct Head Of Radius	64	31	$51,044.90	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
24370	CPT	Revise Reconst Elbow Joint	32	31	$104,632.66	—	$6,269.00	$20,948.94	$12,315.22	2026-09-21
27441	CPT	Revision Of Knee Joint	32	31	$71,150.33	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
24346	CPT	Reconstruct Elbow Med Ligmnt	32	31	$26,613.47	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
27442	CPT	Revision Of Knee Joint	32	31	$113,104.33	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
29867	CPT	Allgrft Implnt Knee W/scope	32	31	$67,793.34	—	$3,963.00	$20,948.94	$12,315.22	2026-09-21
27130	CPT	Total Hip Arthroplasty	96	31	$91,631.35	—	$4,559.00	$20,948.94	$12,315.22	2026-09-21
23473	CPT	Revis Reconst Shoulder Joint	32	31	$105,744.44	—	$4,559.00	$20,948.94	$12,315.22	2026-09-21
28420	CPT	Treat/graft Heel Fracture	32	31	$61,968.29	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
28297	CPT	Correction Hallux Valgus	64	31	$44,398.56	—	$2,461.00	$20,948.94	$12,315.22	2026-09-21
24515	CPT	Treat Humerus Fracture	32	31	$80,918.65	—	$2,985.00	$20,948.94	$12,315.22	2026-09-21
27709	CPT	Incision Of Tibia & Fibula	32	31	$77,083.04	—	$2,084.00	$20,948.94	$12,315.22	2026-09-21
27443	CPT	Revision Of Knee Joint	32	31	$113,104.33	—	$3,376.00	$20,948.94	$12,315.22	2026-09-21
70	MS_DRG	Nonspecific Cerebrovascular Disorders With Mcc	33	33	$29,260.58	$7,852.70 73% off	$8,788.52	$21,948.99	$12,289.01	2026-09-21
915	MS_DRG	Allergic Reactions With Mcc	30	30	$42,694.71	—	$12,282.88	$17,397.83	$12,282.88	2026-09-21
27130	HCPCS	Total Hip Arthroplasty	13	10	$36,362.78	$10,908.83 70% off	$320.00	$19,377.59	$12,190.24	2025-07-01
C1876	HCPCS	Stent Non Ctd/non Cvrd W/delivery	13	12	$18,312.88	—	$12,178.07	$12,178.07	$12,178.07	2026-09-21
988	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	31	31	$30,358.40	$5,122.31 83% off	$12,133.56	$17,004.69	$12,133.56	2026-09-21
196	MS_DRG	Interstital Lung Dis W Mcc	1	1	$44,148.17	$13,244.45 70% off	$12,111.96	$12,111.96	$12,111.96	2025-07-01
551	MS_DRG	Medical Back Problems With Mcc	31	31	$107,646.47	$8,443.30 92% off	$11,732.76	$17,340.93	$12,068.11	2026-09-21
354	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Cc	30	30	$66,233.35	—	$12,031.97	$17,406.11	$12,031.97	2026-09-21
578	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc	30	30	$58,376.24	—	$11,959.02	$16,619.81	$11,959.02	2026-09-21
23473	HCPCS	Revis Reconst Shoulder Joint	1	1	$19,979.99	$5,994.00 70% off	$11,951.22	$11,951.22	$11,951.22	2025-07-01
43647	CPT	Lap Impl Electrode Antrum	32	31	$52,434.75	—	$4,559.00	$18,181.58	$11,935.71	2026-09-21
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	32	32	$67,686.41	$5,931.98 91% off	$11,505.82	$17,116.42	$11,894.24	2026-09-21
85	MS_DRG	Trau Stupor/coma <1HR Mcc	1	1	$39,397.80	$11,819.34 70% off	$11,832.50	$11,832.50	$11,832.50	2025-07-01
368	MS_DRG	Major Esophageal Disorders With Mcc	30	30	$40,192.70	—	$11,819.93	$16,469.80	$11,819.93	2026-09-21
983	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	31	31	$85,136.27	$14,878.55 83% off	$11,807.65	$17,733.04	$11,807.65	2026-09-21
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	33	33	$57,963.24	$19,219.04 67% off	$11,387.50	$17,501.29	$11,740.83	2026-09-21
643	MS_DRG	Endocrine Disorders With Mcc	30	30	$70,460.73	—	$11,733.33	$17,030.55	$11,733.33	2026-09-21
393	MS_DRG	Other Digestive System Diagnoses With Mcc	30	30	$30,824.38	—	$11,724.47	$16,546.36	$11,724.47	2026-09-21
331	MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	35	34	$82,358.16	$21,640.27 74% off	$11,278.54	$17,411.28	$11,690.38	2026-09-21
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	35	35	$58,567.94	$10,067.77 83% off	$5,510.93	$19,546.04	$11,624.93	2026-09-21
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	36	35	$38,407.41	$9,232.96 76% off	$6,248.90	$16,226.67	$11,613.34	2026-09-21
296	MS_DRG	Cardiac Arrest, Unexplained With Mcc	31	31	$71,110.30	$15,153.57 79% off	$10,861.85	$16,159.42	$11,604.47	2026-09-21
299	MS_DRG	Peripheral Vascular Disorders With Mcc	30	30	$28,895.65	—	$11,462.66	$16,891.91	$11,462.66	2026-09-21
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	36	34	$35,495.71	$11,150.78 69% off	$11,081.30	$16,167.69	$11,455.16	2026-09-21
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	31	31	$30,196.14	$10,284.25 66% off	$4,346.00	$19,380.00	$11,451.06	2026-09-21
C2623	HCPCS	Cath Translum Angio Drug 5-6 X 250	13	12	$17,210.35	—	$11,444.89	$11,444.89	$11,444.89	2026-09-21
C1762	HCPCS	Allograft Articular Cartlidge Atgra	13	12	$17,193.76	—	$11,433.85	$11,433.85	$11,433.85	2026-09-21
501	MS_DRG	Soft Tiss Px W Cc	1	1	$63,623.81	$19,087.14 70% off	$11,400.51	$11,400.51	$11,400.51	2025-07-01
512	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…	32	32	$56,708.12	$19,332.39 66% off	$11,051.12	$17,126.77	$11,395.84	2026-09-21
620	MS_DRG	O.r. Procedures For Obesity With Cc	32	32	$63,986.23	$22,612.48 65% off	$11,178.48	$16,556.70	$11,322.20	2026-09-21
328	MS_DRG	Stomach, Esophageal And Duodenal Procedures Without Cc/mcc	33	33	$57,858.21	$14,793.73 74% off	$10,823.82	$16,577.40	$11,298.34	2026-09-21
183	MS_DRG	Major Chest Trauma With Mcc	30	30	$68,169.35	—	$11,256.07	$15,828.35	$11,256.07	2026-09-21
482	MS_DRG	Hip And Femur Procedures Except Major Joint Without Cc/mcc	33	32	$62,643.33	$17,331.06 72% off	$9,511.87	$16,874.33	$11,249.93	2026-09-21
92937	HCPCS	Prq Revasc Byp Graft 1 Vsl	1	1	$37,355.57	$11,206.67 70% off	$11,232.03	$11,232.03	$11,232.03	2025-07-01
186	MS_DRG	Pleural Effusion With Mcc	30	30	$33,915.61	—	$11,206.29	$16,124.24	$11,206.29	2026-09-21
251	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	31	31	$68,876.18	$16,191.03 76% off	$10,725.97	$15,462.10	$11,087.66	2026-09-21
557	MS_DRG	Tendonitis, Myositis And Bursitis With Mcc	31	31	$44,632.61	$7,930.17 82% off	$10,684.37	$15,383.47	$10,999.70	2026-09-21
813	MS_DRG	Coagulation Disorders	30	30	$11,431.24	—	$10,988.11	$15,780.75	$10,988.11	2026-09-21
C1874	HCPCS	St Coated Viabahn 7 Fr 6-7mmx15cmx0	13	12	$16,409.44	—	$10,912.28	$10,912.28	$10,912.28	2026-09-21
351	MS_DRG	Ing/fem Hernia Px W Cc	1	1	$153,207.36	$45,962.21 70% off	$10,903.31	$10,903.31	$10,903.31	2025-07-01
337	MS_DRG	Peritoneal Adhesiolysis Without Cc/mcc	31	31	$53,043.75	$26,281.36 50% off	$10,417.44	$15,881.11	$10,900.16	2026-09-21
37236	CPT	Open Perq Place Stent 1st	32	31	$43,702.43	—	$4,559.00	$18,836.70	$10,854.40	2026-09-21
37187	CPT	Venous Mech Thrombectomy	32	31	$21,670.87	—	$4,559.00	$18,836.70	$10,854.40	2026-09-21
37238	CPT	Open/perq Place Stent Same	32	31	$44,789.33	—	$4,559.00	$18,836.70	$10,854.40	2026-09-21
37244	CPT	Vasc Emboliize/occlude Bleed	32	31	$44,789.33	—	$6,269.00	$18,836.70	$10,854.40	2026-09-21
92937	CPT	Prq Revasc Byp Graft 1 Vsl	32	31	$44,789.33	—	$10,854.40	$18,836.70	$10,854.40	2026-09-21
92943	CPT	Prq Card Revasc Chronic 1vsl	32	31	$57,039.62	—	$10,854.40	$21,113.10	$10,854.40	2026-09-21
0234T	CPT	Atherectomy Renal	32	31	$44,789.33	—	$10,854.40	$18,836.70	$10,854.40	2026-09-21
92924	CPT	Prq Card Angio/arthrect 1 Art	32	31	$44,789.33	—	$10,854.40	$18,836.70	$10,854.40	2026-09-21
92928	CPT	Prq Card Stent W/angio 1 Vsl	32	31	$58,386.12	—	$10,854.40	$21,483.38	$10,854.40	2026-09-21
C9764	HCPCS	Revasc Intravasc Lithotripsy	32	31	$40,727.53	—	$10,854.40	$18,836.70	$10,854.40	2026-09-21
C9600	HCPCS	Perc Drug-el Cor Stent Sing	38	35	$61,649.20	$11,304.13 82% off	$9,583.10	$22,688.97	$10,854.40	2026-09-21
C9604	HCPCS	Perc D-e Cor Revasc T Cabg S	32	31	$37,279.38	—	$10,854.40	$18,836.70	$10,854.40	2026-09-21
28299	HCPCS	Correction Hallux Valgus	1	1	$16,231.65	$4,869.49 70% off	$10,817.86	$10,817.86	$10,817.86	2025-07-01
C1900	HCPCS	Lead Coronary Venous	13	12	$16,250.24	—	$10,806.41	$10,806.41	$10,806.41	2026-09-21
92928	HCPCS	Prq Card Stent W/angio 1 Vsl	8	7	$41,091.13	$12,327.34 70% off	$320.00	$16,197.38	$10,796.13	2025-07-01
398	MS_DRG	Appendix Procedures With Cc	19	19	$43,950.73	—	$10,750.84	$10,750.84	$10,750.84	2026-09-21
C1734	HCPCS	Orth/devic/drug Bn/bntis/bn	13	12	$16,127.15	—	$10,724.56	$10,724.56	$10,724.56	2026-09-21
513	MS_DRG	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc	30	30	$38,443.84	—	$10,699.02	$16,287.71	$10,699.02	2026-09-21
682	MS_DRG	Renal Failure With Mcc	37	35	$32,574.21	$10,800.51 67% off	$5,956.20	$15,322.43	$10,673.80	2026-09-21
306	MS_DRG	Cardiac Congenital And Valvular Disorders With Mcc	30	30	$49,269.90	—	$10,643.12	$16,303.23	$10,643.12	2026-09-21
487	MS_DRG	Knee Px W Inf Pdx Wo Cc	1	1	$58,968.57	$17,690.57 70% off	$10,509.61	$10,509.61	$10,509.61	2025-07-01
794	MS_DRG	Neonate With Other Significant Problems	34	34	$15,235.48	$4,418.87 71% off	$2,538.00	$15,269.66	$10,498.57	2026-09-21
865	MS_DRG	Viral Illness With Mcc	30	30	$54,312.42	—	$10,496.53	$15,501.41	$10,496.53	2026-09-21
388	MS_DRG	Gastrointestinal Obstruction With Mcc	31	31	$53,333.70	$7,017.14 87% off	$10,128.08	$15,278.97	$10,455.62	2026-09-21
602	MS_DRG	Cellulitis With Mcc	32	32	$48,807.91	$8,726.02 82% off	$1,657.43	$14,704.77	$10,450.84	2026-09-21
29868	HCPCS	Meniscal Trnspl Knee W/scpe	1	1	$9,646.21	$2,893.86 70% off	$10,418.60	$10,418.60	$10,418.60	2025-07-01
562	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	31	31	$20,537.02	$7,736.16 62% off	$10,045.93	$14,740.98	$10,411.98	2026-09-21
621	MS_DRG	O.r. Procedures For Obesity Without Cc/mcc	41	37	$56,043.15	$17,269.39 69% off	$10,068.24	$15,605.91	$10,400.39	2026-09-21
637	MS_DRG	Diabetes With Mcc	34	34	$54,581.47	$12,179.10 78% off	$9,841.82	$14,864.10	$10,362.89	2026-09-21
963	MS_DRG	Oth Mult Sig Trauma Mcc	1	1	$49,368.75	$14,810.63 70% off	$10,343.46	$10,343.46	$10,343.46	2025-07-01
884	MS_DRG	Organ Dist & Intell Disab	5	3	$23,419.11	$7,025.73 70% off	$6,965.90	$12,264.74	$10,317.32	2025-07-01
999	MS_DRG	Ungroupable	1	1	$61,262.94	$18,378.88 70% off	$10,313.51	$10,313.51	$10,313.51	2025-07-01
C1778	HCPCS	Lead Interstem 3.5 Kit	13	12	$15,474.22	—	$10,290.35	$10,290.35	$10,290.35	2026-09-21
581	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	32	32	$40,784.48	$9,536.82 77% off	$8,255.22	$14,930.31	$10,246.30	2026-09-21
867	MS_DRG	Oth Inf/para Dx W Mcc	1	1	$35,503.06	$10,650.92 70% off	$10,212.80	$10,212.80	$10,212.80	2025-07-01
615	MS_DRG	Adrenal And Pituitary Procedures Without Cc/mcc	30	30	$51,557.47	—	$10,204.03	$14,477.16	$10,204.03	2026-09-21
37228	HCPCS	Tib/per Revasc W/tla	2	2	$41,091.13	$12,327.34 70% off	$9,774.76	$10,533.58	$10,154.17	2025-07-01
727	MS_DRG	Inf Male Reprod Sys W Mcc	1	1	$16,945.24	$5,083.57 70% off	$10,124.80	$10,124.80	$10,124.80	2025-07-01
885	MS_DRG	Psychoses	40	38	$54,371.56	$10,436.67 81% off	$3,851.94	$13,071.25	$10,044.48	2026-09-21

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